Thomas Edwin Dunn II, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12009010 Issued in IN

Practice address

110 W North St
Portland, IN 47371-1136

Phone

(260) 726-8007

Fax

(260) 726-2505

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dunn Family Dental Care PC

  • General Practice Dentistry
  • Portland, IN
  • NPI 1912037219
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639209075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W NORTH ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711136",
            "telephone_number": "260-726-8007",
            "fax_number": "260-726-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W NORTH ST",
            "city": "PORTLAND",
            "state": "IN",
            "postal_code": "473711136",
            "telephone_number": "260-726-8007",
            "fax_number": "260-726-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "THOMAS",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifton James Derome
• Patsy S Detamore-Brush, MD
• Dori Ditty, MD
• Danielle Marie Dues, NP
• Dunn Family Dental Care PC
• David C Dunnington, MD
• Camille Anne Elick-Shawver, NP
• Robert Bruce Elliott II, M.D.
• Thomas EMS, MD
• Kyle Epler, LPN

• General Practice Dentistry in Portland, IN
• Providers in Portland, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.